Displaying 91641-91650 of 1611142 results.
ID:
91641
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91642
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91643
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
91644
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91645
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91646
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
91647
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91648
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91649
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
91650
Formulary ID:
00021036
Formulary Version:
14
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
91641916429164391644916459164691647916489164991650